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Exam Process NRC 2013. Andrew Hall MD FRCPC Department of Emergency Medicine Queen’s University. How it all went down…. Written Exam Oral Exam Studying Tips Final Thoughts. WRITTEN EXAM. 2 consecutive days; 3 hours each Usually in a conference room Ex. Kingston Public Library
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Exam ProcessNRC 2013 Andrew Hall MD FRCPC Department of Emergency Medicine Queen’s University
How it all went down… • Written Exam • Oral Exam • Studying Tips • Final Thoughts
WRITTEN EXAM • 2 consecutive days; 3 hours each • Usually in a conference room • Ex. Kingston Public Library • ~25-28 questions per paper • Written with other specialties
WRITTEN EXAM • Question starts with stem describing clinical scenario • Will ask questions relating to stem: • What is the most likely diagnosis • What is the next most important step • List 6 causes of this presentation • List 6 therapies that should be initiated immediately • List 4 complications of this problem
WRITTEN EXAM • Usually STRAIGHTFORWARD • Rosen’s Tables and Lists are $$ • Looking for lists, few words, definitions • May have visual stimuli • Answers are WEIGHTED as indicated • proportional to difficulty/importance • YOU WILL NOT KNOW EVERYTHING • Expect to blank on 1-2 questions per paper • No panicking allowed
ORAL EXAM • Everyone in Ottawa • University far from downtown • Either AM or PM group • Sequestered for ~1-2 hrs before or after • 6 exam stations and 2-3 rest stations • Mass start, rotate around hallway, bell rings, OSCE-style
ORAL EXAM • IN THE ROOM: • One examiner • 2 cases per room (total 12 cases) • 10 min per case (20 min total) • Examiner keeps time – not your job • Examiner will be stone-faced • They want you to pass • “Is there anything else you would…?”
ORAL EXAM • Question Format: • Clinical stem – describe initial management, diagnostic steps, DDx, definitive management • May have visual stimuli • Question Content • Predictable, bread and butter • Difficult airway – many different scenarios • Trauma resuscitation • Crashing neonate/child • Child abuse • Ethics / CANMEDS / Communication • Procedures
STUDYING TIPS • Talk to your recent grads – it worked for them • Notes, cue-cards, questions, ppt slides, etc • Make practice questions • Meet with a partner or group • Rosen’s + Minor Supplementation • AHA Guidelines + PALS • Robert’s and Hedges – Procedures in EM • Mattu - ECGs for Emergency Physicians • Up-to-Date • Goldfrank’sTox Handbook • Knoop – Atlas of Emergency Medicine • Toronto Notes (no joke) • Something for Ethics and ClinEpi • Top 10 list papers • Do lots of practice orals